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Thousands of doctors in Britain walk off the job in their longest-ever strike

Patients faced canceled treatments after thousands of British doctors walked off the job on Wednesday, the start of a six-day strike over pay that was set to be the longest in the history of the state-funded National Health Service.

Quick Read

  • Junior Doctors’ Strike in England: Thousands of British doctors, particularly junior doctors in the early stages of their careers, began a six-day strike over pay, marking the longest strike in the National Health Service’s history.
  • Impact on Patient Care: The walkout has led to the postponement of tens of thousands of appointments and operations, with senior doctors and other medical staff covering emergency services, critical care, and maternity services.
  • Timing and Challenges: The strike occurs during a challenging period for the NHS, post-Christmas and New Year, compounded by flu and COVID-19 pressures.
  • Background of Pay Dispute: This strike is part of broader industrial action across the health sector, driven by demands for pay increases amid high inflation and rising living costs. The real value of wages, especially in the public sector, has reportedly declined over the past decade.
  • Pay Rates for Junior Doctors: Newly qualified doctors earn around 15.53 pounds per hour, with salaries increasing after the first year. However, stress and low pay are causing many to seek employment abroad.
  • Strain on the Health Service: The NHS is still recovering from pandemic-related backlogs, and the strike further strains the system. Health Secretary Victoria Atkins noted that over 1.2 million appointments have been rescheduled due to ongoing industrial actions.
  • Debate Over Strike’s Impact on Deaths: While some suggest that delays caused by the strikes may contribute to excess deaths, evidence is limited, with COVID-19 and an aging population also impacting mortality rates.
  • Negotiations and Pay Deals: While nurses, ambulance crews, and senior doctors have reached pay agreements with the government, negotiations for junior doctors have stalled. The government has offered an 8.8% pay raise, but the union insists it is insufficient, citing a significant pay cut since 2008.
  • Stance of British Medical Association: The union representing junior doctors is seeking a “credible” pay offer and is unwilling to call off the strike without it. The government, conversely, will not engage in further talks unless the strike is suspended.

The Associated Press has the story:

Thousands of doctors in Britain walk off the job in their longest-ever strike

Newslooks- LONDON (AP)

Patients faced canceled treatments after thousands of British doctors walked off the job on Wednesday, the start of a six-day strike over pay that was set to be the longest in the history of the state-funded National Health Service.

Managers said tens of thousands of appointments and operations will be postponed because of the walkout across England by junior doctors, those in the first years of their careers. The doctors, who form the backbone of hospital and clinic care, plan to stay off the job until 7 a.m. on Tuesday.

Senior doctors and other medics have been drafted to cover for emergency services, critical care and maternity services.

Junior doctors and members of the British Medical Association (BMA) demonstrate outside Royal Victoria Infirmary, Newcastle, England, Wednesday, Jan. 3, 2024, as they take to picket lines for six days. Doctors in the early stages of their careers in England have started a 72-hour strike in their long-running dispute over pay levels. (Owen Humphreys/PA via AP)

Julian Hartley, chief executive of heath care managers’ organization NHS Providers, said the strike came at one of the toughest times of the year for the health service, “immediately after the Christmas and New Year period because of the pressures the demands, and of course we’ve got flu, we’ve got COVID.

“So there’s going to be an impact on patients that will be significant,” he said.

Britain has endured a year of rolling strikes across the health sector as staff sought pay rises to offset the soaring cost of living. Unions say wages, especially in the public sector, have fallen in real terms over the past decade, and double-digit inflation in late 2022 and early 2023, fueled by sharply rising food and energy prices, left many workers struggling to pay bills.

The union says newly qualified doctors earn 15.53 pounds ($19.37) an hour — the U.K. minimum wage is just over 10 pounds an hour — though salaries rise rapidly after the first year.

Junior doctors and members of the British Medical Association (BMA) demonstrate outside St Thomas’ Hospital, London, Wednesday, Jan. 3, 2024, as they take to picket lines for six days. Doctors in the early stages of their careers in England have started a 72-hour strike in their long-running dispute over pay levels. (Jonathan Brady/PA via AP)

On a picket line outside St. Thomas’ Hospital in central London, 28-year-old Dr. Georgia Blackwell said stress and low pay were driving many doctors to take jobs overseas.

“A lot of doctors are moving to Australia — not just because of the pay, but also the work-life balance is better,” she said.

The walkouts have strained the already stretched health service still struggling to recover from backlogs created by the coronavirus pandemic.

Health Secretary Victoria Atkins said the strikes were having “a serious impact on patients,” with more than 1.2 million appointments rescheduled in the months since the wave of industrial action began.

The impact is difficult to quantify. Some claim that delays in testing and treatment due to the strikes may lie behind an increase in excess deaths in the U.K., which were at their highest in 2023 since the pandemic year of 2020.

Junior doctors and members of the British Medical Association (BMA) demonstrate outside St Thomas’ Hospital, London, Wednesday, Jan. 3, 2024, as they take to picket lines for six days. Doctors in the early stages of their careers in England have started a 72-hour strike in their long-running dispute over pay levels. (Jonathan Brady/PA via AP)

There is little firm evidence of a link, however, with factors including COVID-19 and an aging population contributing to an increase in deaths in the U.K. and other countries.

Nurses, ambulance crews and senior doctors have reached pay deals with the government, but the union representing junior doctors has held out, and negotiations broke down late last year. The government says it won’t hold further talks unless doctors call off the strike, while the medics’ union, the British Medical Association, says it won’t negotiate unless it receives a “credible” pay offer.

The government gave the doctors an 8.8% pay raise last year, but the union says it is not enough because junior doctors’ pay has been cut by more than a quarter since 2008.

“The notion that we’re hellbent on calling strikes and all we want to do is call strikes is not what we want,” said Dr. Vivek Trivedi, co-chair of the British Medical Association’s Junior Doctors Committee. “What we want is to negotiate an offer we can put to our members and for our members to accept it.”

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